1
NR 511 – FINAL EXAM STUDY GUIDE
WEEK 1
1. Define diagnostic reasoning
Reflective thinking because the process involves questioning one's thinking to determine
if all possible avenues have been explored and if the conclusions that arebeing drawn are
based on evidence.
Seen as a kind of critical thinking.
2. Discuss and identify subjective data?
What the patient tells you, complains of, etc.
Chief complaint
HPI
RO
S
3. Discuss and identify objective data?
What YOU can see, hear, or feel as part of your exam.
Includes lab data, diagnostic test results.
Components of HPI
4. Discuss and identify the components of the HPI
Specifically related to the chief complaint only. Detailed
breakdown of CC.
OLDCART
5. What is medical coding?
The use of codes to communicate with payers about which procedures were performedand
why
6. What is medical billing?
Process of submitting and following up on claims made to a payer in order to receive
payment for medical services rendered by a healthcare provider.
7. What are CPT codes?
Common procedural terminology
Offers the official procedural coding rules and guidelines required when reporting
medical services and procedures performed by physician and non-physician providers.
8. What are ICD codes?
International classification of disease
Used to provide payer info on necessity of visit or procedure performed.
9. What is specificity?
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The ability of the test to correctly detect a specific condition.
If a patient has a condition but test is negative, it is a false negative.
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If a patient does NOT have a condition but the test is positive, it is a false positive.
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10. What is sensitivity?
Test that has few false negatives.
Ability of a test to correctly identify a specific condition when it is present.The
higher the sensitivity, the lesser the likelihood of a false negative.
11. What is predictive value?
The likelihood that the patient actually has the condition and is, in part, dependent uponthe
prevalence of the condition in the population.
If a condition is highly likely, the positive result would be more accurate.
12. Discuss the elements that need to be considered when developing a plan
Pt's preferences and actions
Research evidence
Clinical state/circumstances
Clinical expertise
13. Describe the components of Medical Decision Making in E&M coding
Risk
Data
Diagnosis
The more time and consideration involved in dealing with a pt, the higher thereimbursement
from the payer.
Documentation must reflect MDM!
evaluation and management (E&M)
14. Correctly order the E&M office visit codes based on complexity from least to most
complex
New patient: Established patient:
1. Minimal/RN visit: 99201 Minimal RN visit: 99211
2. Problem focused: 99202 Problem focused: 99212
3. Expanded problem focused: 99203 Expanded problem focused: 99213
4. Detailed: 99204 Detailed: 99214
5. Comprehensive: 99205 Comprehensive: 99215
15. Discuss a minimum of three purposes of the written history and physical in
relation to the importance of documentation
Important reference document that gives concise info about the pt's Hx and
exam findings.
Outlines a plan for addressing issues that prompted the visit. Info should be
presented in a logical fashion that prominently features all data relevant to thept's
condition.
Is a means of communicating info to all providers involved in the pt's care.Is
a medical-legal document.
Is essential in order to accurately code and bill for services.
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NR 511 – FINAL EXAM STUDY GUIDE
WEEK 1
1. Define diagnostic reasoning
Reflective thinking because the process involves questioning one's thinking to determine
if all possible avenues have been explored and if the conclusions that arebeing drawn are
based on evidence.
Seen as a kind of critical thinking.
2. Discuss and identify subjective data?
What the patient tells you, complains of, etc.
Chief complaint
HPI
RO
S
3. Discuss and identify objective data?
What YOU can see, hear, or feel as part of your exam.
Includes lab data, diagnostic test results.
Components of HPI
4. Discuss and identify the components of the HPI
Specifically related to the chief complaint only. Detailed
breakdown of CC.
OLDCART
5. What is medical coding?
The use of codes to communicate with payers about which procedures were performedand
why
6. What is medical billing?
Process of submitting and following up on claims made to a payer in order to receive
payment for medical services rendered by a healthcare provider.
7. What are CPT codes?
Common procedural terminology
Offers the official procedural coding rules and guidelines required when reporting
medical services and procedures performed by physician and non-physician providers.
8. What are ICD codes?
International classification of disease
Used to provide payer info on necessity of visit or procedure performed.
9. What is specificity?
Page 1 of 53
,2
The ability of the test to correctly detect a specific condition.
If a patient has a condition but test is negative, it is a false negative.
Page 2 of 53
,3
If a patient does NOT have a condition but the test is positive, it is a false positive.
Page 3 of 53
, 4
10. What is sensitivity?
Test that has few false negatives.
Ability of a test to correctly identify a specific condition when it is present.The
higher the sensitivity, the lesser the likelihood of a false negative.
11. What is predictive value?
The likelihood that the patient actually has the condition and is, in part, dependent uponthe
prevalence of the condition in the population.
If a condition is highly likely, the positive result would be more accurate.
12. Discuss the elements that need to be considered when developing a plan
Pt's preferences and actions
Research evidence
Clinical state/circumstances
Clinical expertise
13. Describe the components of Medical Decision Making in E&M coding
Risk
Data
Diagnosis
The more time and consideration involved in dealing with a pt, the higher thereimbursement
from the payer.
Documentation must reflect MDM!
evaluation and management (E&M)
14. Correctly order the E&M office visit codes based on complexity from least to most
complex
New patient: Established patient:
1. Minimal/RN visit: 99201 Minimal RN visit: 99211
2. Problem focused: 99202 Problem focused: 99212
3. Expanded problem focused: 99203 Expanded problem focused: 99213
4. Detailed: 99204 Detailed: 99214
5. Comprehensive: 99205 Comprehensive: 99215
15. Discuss a minimum of three purposes of the written history and physical in
relation to the importance of documentation
Important reference document that gives concise info about the pt's Hx and
exam findings.
Outlines a plan for addressing issues that prompted the visit. Info should be
presented in a logical fashion that prominently features all data relevant to thept's
condition.
Is a means of communicating info to all providers involved in the pt's care.Is
a medical-legal document.
Is essential in order to accurately code and bill for services.
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